* 1. Where do you curently live?

* 2. What is your gender?

* 3. What is your age?

* 4. Are you now married, widowed, divorced, separated, or never married?

* 5. Which of the following categories best describes your employment status?

* 6. Which of the following best describes your current occupation?

* 7. Which race/ethnicity best describes you? (Please choose only one.)

* 8. What is your approximate average household income?

T